儿科远程医疗指南 (学龄)

Pediatric Telehealth Guidelines — An Innovative, Standards-based System

除了被standards-based (Clinical Practice Guidelines We Can Trust, IOM, 2011) 独特的功能包括:

• 五级分类:   指南 敏锐度水平是从 1989 由美国急诊医师学院.   在 1995, 他们被进一步细化为5级分类.  这些准则早于以下概念描述 曼彻斯特分类集团 和紧急程度指数 (all designed for face-to-face triage). The guidelines contain nomenclature:  视力分类, definitions, time frames. The 5-Level Triage provides for clinical prioritization, and a unified method for assigning triage.(Standard 2, 3).
• “Round the clock”, not just Office Hours: “Round the Clock” Disposition recommendations, not just for Office Hours. Dispositions are covered 24/7/365 not just 9-5, M-F, 提供了一个“真实世界”,  实用的工具.  对于患者, 5-Level Triage提供明确的指令或处置，明确说明何时, 在哪里以及为什么应该看到它们, by stating the site, time frame and level of urgency of symptom pattern elicited by the nurse. (Standard 1)
• Age-specific:  Explicitly state the population to which they apply. Content is customized to three unique age groups: 婴幼儿，儿童 (Age Birth to 6 岁月), 学龄 (年龄 6-18 岁月) and Adult (年龄 18 岁月 +) (Standard 1)
• A Generic Guidelinesupports nurses in several ways (Standard 4,5,6):
  • as a “Fall Back” 或在应急的情况下，其中的准则现有协议可能不适用
  • as a “Go To” guideline before using a specific one
  • as a training tool for new staff
• Patient-centered guidelines. Uniquely “Patient Centric” (Standard 1, 5, 6)
  
  • All Literacy Levels:  为了方便沟通的准确性和简洁打电话, we wrote guideline content at 5^日 至 8^日 grade literacy level for condition descriptions and home treatment instructions.  无需从medicalese打好语言翻译, or college level to grade-school level.
  • All economic levels: 建议配低价, 访问家庭治疗和全面支持所有经济水平的免费技术支持组
  • Site-based titles:  Presented in lay language, the way that patients typically present symptoms

Standards-Based The features listed above meet and surpass current standards for decision support systems:

1. Explicit:  指引明确规定人口它们适用
2. 可靠: Designed to lead to correct outcomes. 5-Tier Triage disposition designate where, when and why patients should be seen
3. Reproducibility:  五级分诊护士便利选择同一倾向的不同群体
4. 用户指南 contains complete operating instructions, 包括相关假设和例外的建议
5. 明晰: 写在明确的语言, 使用精确定义的术语, 在一个用户友好的介绍
6. Transparency: üsers can clearly understand how they work

Clinician-Developed Developed by practicing clinicians 为 practicing clinicians, reviewed by Expert Physician Reviewers

• 安全: Spotless safety record, no malpractice events related to these guidelines since published in 1995
• 两用: May be used for Face-to-Face Triage Encounters and School Nurse Settings
• Customizable when used with three ring binder and Tabs

用户友好, 透明和直观

• 该unique pattern recognition design  模仿大脑的自然问题，通过合成两种算法和模式识别求解方法. 该准则利用症状的识别/匹配策略，以支持安全决策. 这 “真实的世界” approach to decision-making has been validated by medical decision expert Vimla Patel in her research of telephone triage nurses practicing in the ED setting. It is also a practice standard for Emergency Medicine physicians.
• Unlike systems with hundreds of protocol titles (which can lengthen the search process), this system is complete 和 concise. Fifty guidelines address over 1,500 common and rare but predictable conditions. Each guideline includes screening questions, home treatment and/or first aid directives, 及补充病人的教学信息.  
• 快速和用户友好 这些准则不够详细，以确保自信的决策, 还不够简练，以消除过度的和耗时的交叉引用.
• 权威性 该协议由二十专家级护士专案组进行合作开发超过两年的时间, 执业护士和医生, 提供一个多学科的角度.
• 方便您的预算 电子协议可以花费数十万美元. 和 “越来越多的自己” 纸协议是非常耗时和昂贵的，以及. 这四位一本手册已经说明了一切, 并且是极具成本效益 – 黄金的投资价值它的重量!

TeleTriage Systems Helps “获取病人到合适的位置, at the Right Time, for the Right Reason” TM

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